Town of Winthrop : Record of Deaths 1944, Part 76

Author: Winthrop (Mass.)
Publication date: 1944
Publisher:
Number of Pages: 526


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 76


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ADDRESS


low ashington It Dor


Received and filed


19 ...


A TRUE COPY ATTEST:


(Registrar)


1944.


.....


Female White


(write the word)


DEATH


November. 15-


18 DATE OF


2 FULL NAME


(If nonresident, give city or town and state)


cannotbe


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered bospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required hy section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died ; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shall be issued until there shall have been de- livered to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thercof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or hy the selectmen for the pur- pose. shall npon application make the certificate required of the at- tending physician. If death is caused hy violence, the medical exam- incr shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker deslring to make such a removal shall constitute a permit for sueh removal ; provided, that such body shall be returned to the town from which it was removed within thirty- six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hercunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The hoard of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter fur- nish for registration any other necessary information which can be


ohtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)


No undertaker or other person shall bury a human body or the ashes thereof which have been hrought into the commonwealth nntil he has received a permit so to do from the board of health or Its agent appointed to issuc such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition.)


RULES OF PRACTICE


The fulfillment of the purpose of thesc laws calls for the ohserv- ance of the following rules of practice :


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last ill- ness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septlce- mia), and hy the action of chemical (drugs or poisons), thermal, or clectrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morhid con- ditions, if any. related to the principal cause and any important complication of the principal cause,


Statement of Occupation .- Precise statement of occupation Is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home honsework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


1 A


If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS


50ml-(e)-3-43-11574


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)'


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registrar's No.


227


St.


§ (If death occurred in a hospital or institution,


¿ give its NAME instead of street and number)


PHYSICIAN-IMPORTANT


2 FULL NAME


Margaret E. Donovan


(


Sullivan )


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No.


6 Jefferson St.


St.


(Usual place of abode)


Length of stay: In hospital or Institution


(Before death)


(Specify whether)


years


months


1


days.


(If nonresident, give city or town and State)


In this community 25yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE


(write the word)


MARRIED


WIDOWEDWidowed


or DIVORCED


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


David J. Donovan


(Husband's name in full)


6 Age of husband or wife if alive.


years


7 IF STILLBORN, enter that fact here.


8


.6.2


Years


Months.


Days


If less than 1 day


Hours


Minutes


Usual


.9 Occupation:


Housewife


Industry


10 or Business :


Own Home


11 Social Security No.


12 BIRTHPLACE (City)


(State or country)


Boston,


Ma 88


13 NAME OF


FATHER


Michael Sullivan


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Bridget


unable to


obtain


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17 Daniel J. Donovan


Relation, if any


Informant.


(Address)


6 Jefferson St Winthrop


was filed with me BEFORE the burlabor transit permit was issued: I HEREBY CERTIFY that a satisfactory standard certificate of death


Signature of Agout of Board of Health or other) Realice Officer 11/18/44


(Official Designation) (Date of Issue of' Permit)


18 DATE OF


DEATH


un.


17


(Month)


(Day)


1944 (Year)


19 I HEREBY CERTIFY,


mr.17


1944,


->


to.


www.1)


19


That I attended deceased from


I last saw h


Lalive on


www.17, 1947, death is said to


have occurred on the date stated above, at.


2.30 AM.


Immediate cause of death,


Duration IMPORTANT 22


Due t


(I. E. crawled gustation


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Major findings:


Of operations.


Date of.


Of autopsy


What test confirmed diagnosis?


20 Was disease or injury in any way related to occupation of deceased ?


If so, specify


(Signed)


(Address) Verlangte Ly Date.


11 -4719 44


21 Winthrop V Winthrop Mass Place of Burial, Cremation quemener for or Town) DATE OF BURIAL .19


44


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


Winthrop, Massachusetts


Received and filed.


_19


(Registrar)


IMPORTANT Physician


Underline the cause to which death should be charged sta- tistically.


1


Winthrop Community Hospital No.


(Was deceased a


U. S. War Veteran,


if so specify WAR)


MEDICAL CERTIFICATE OF DEATH


44


(or) WIFE of


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the death of a person whoin he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belicf the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy scetion one, where samc was contracted, the duration of his last illness, when last scen alive by the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.


A physician or officer furnishing a certificate of death as required by the preceding section or hy section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of seetions forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixtecn and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application inake the certificate re- quired of the attending physician. If death is caused hy violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall he returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required


by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transinit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other neces- sary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).


No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a perinit so to do from the board of health or its agent appointed to issuc such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead hodics of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; . . . - Gencral Laws, Chap. 38, Sec. 6.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given hedside care during a last illness from disease unrelated to any forin of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Cause of death mcans the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.


Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation by the appropriate terins, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


-


R-301 A


COSTCO NOTIFIED 12/9/44


Suffolk (County)


The Commontoralth of Massaelpisetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No.


228.


No.


Winthrop Community Hospital


St.


§ ( It death occurred in a hospital or Institution,


i give ita NAME instead of street and number)


PHYSICIAN - IMPORTANT


2 FULL NAME.


Alice Mae Foster (nee! Fogg)


( If deceased Is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No.


32 Paris


St.


East


Boston 2


......


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay : In ansoltal or Institution.


( Before death)


(Specify whether)


yeers


months


/


days.


In this community 35 yra.


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE


( write the word)


18 DATE OF


DEATH


November


19


1944


( Month)


(Day)


(Year)


19 | HEREBY CERTIFY.


N/04-7


1944


to


Nov. 18.


19.


I last saw h $1.


.allve on


NOV.


18, 19 44 death is said to


have occurred on the date stated above, at.


5.000m.


6 Age of husband or wife if alive


5.3


years


IF STILLBORN. enter that fact here.


8


AGE


58 Years 1.1. Months


2Gays


-


if less than 1 day


Hours


.. Minutes


Usual


9 Dccuoation :


Housewife


10 or Business :


Industry


At .... home


11 Social Security No. ... none


12 BIRTHPLACE (City)


(State or country)


Maine


13 NAME OF


FATHER


Benjamin Cobb Fogg


14 BIRTHPLACE OF


FATHER (City)


Waterville


( State or country)


Maine


15 MAIDEN NAME


OF MOTHER


Ollie Anna Crummit


16 BIRTHPLACE OF


MOTHER (City)


Vassalboro


(State or country)


Maine


17 Alton L.Gurney


.... son


l'lace of Burial, Cremation or Removal.


DATE OF BURIAL.


November 22,


1944


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burlat or transit permit was Issued:


......


(Signature of Ageht of Board of Health or Other) Health Officer 11/20/44


(Official Designation) (Date of Issue of Permit)


(Registrar)


100M-G - 2-42-8855


extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital, to that effect. PARENTS


Duration IMPORTANT


2-M.S.


Due to


Due to.


Other conditions


( Include pregnancy within 3 months of death)


IMPORTANT Physician


Mejor findings:


Of operations


Date of


Of eutopsy


What test confirmed diagnosis ?.


Underline the cause to which death should be charged sta- listically.


20


20 Was disease or injury in eny way related to oooupation of deceased ?.


If so, specify.


(Signed)


200 Wanymigm Avz Date Nov 201944


M. D.


21


Woodlawn


Everett (City or Town)


Informant.


( Address)


32 Paris St. E. Boston Mass


22 NAME OF


FUNERAL DIRECTOR


ADDRESS


3.00.Meridian St ...... Boston


Received and flied.


NOY 2 7 1944


19


F


PLACE OF DEATH


1


Winthrop


(City or Town)


Female


White


MARRIED


WIDOWED


or DIVORCED


Married


Sa If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Melyin derpspWe in full)


( Husband's name In full)


MEDICAL CERTIFICATE OF DEATH


That i attended deosesed from


Immediate oruse of death ...


Endocarditis


Vassalboro


Relation, If any


(Waa deceased a


U. S. War Veteran,


if so specify WAR)


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registared hospital madioal officer shall forthwith, after the death of a person whoin he has attemuled during his last illness, at the request of an undertaker or other authorizel person or of ans member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and hehef the name of the deceased. his supposed age, the disease of which he died. defined as re- quired by section one, where same was contracted. the duration of his last illness, when last seen alive hy the physician or oftcer aod the date of his death ... Cen. Laws, Chap. 46, Sec. 9.


A' physician or officer furnishing s certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, sligll. if the deceased, to the best of his knowledge and belief, served in the army. navy or marine corps of the I'nited Siales in any war in which it has been engaged. insert in the certificate a recital to that effect, speci- fying the war. and shall also certify in such certificate hoth the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one humired and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place hetween February fourteenth, eigliteen hundred and ninety eight and July fourth, nineteen hundred and two, and the Slexi- can border service of nineteen hundred and sixtcen and nineteen hundred and seventeen. G. L. Chiap. 46, Sec. 10.


No undertaker or other person shall hury or otherwise dispose of a human body in a town, or remove therefrom a human hudy which has not been buried, until he has received a permit from the hoard of health, or ita agent appointed to issue such permita, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it froin a town. from one cemetery to another, or from one grave or tomb other than the receiving tomh to another In the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shail he issued until there shall have been delivered to such board, agent or clerk, as the case tnay be, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original internient, by a satisfactory certificate of the attending physician, if any. as required by law. o1 in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed by It or hy the selectmen for the purpose, shall upon application niake the certificate re- quired of the attending physician. If death Is caused hy violence, the medl- cal examiner shall make such certificate. If such a permit for the removal of a liuman hody, not previously interred, froin one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession ot the undertaker desiring to make such removal shail constitute a permit for such removal; provided, that such body shail be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit In the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recitai, as required


by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States In any war In which It has been engaged, such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for reglsirut lon. The person to whom the permit Is so given and the physician certifying the cause of death shall thereafter furnish for registration any other uece+ sary information which can he obtained as to the deceased. or as to the mallier or cause of the death, which the clerk or registrar way require .- Chap. 114. Sec. 46, G. L., ( Tercentenary Edition).




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